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Dr was not on printed approved list.

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Emergency event on unit

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Dr who had collected drug didn't put it in the fridge.

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Pharmacist had voiced concern about non conformance with procedure.

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Sister was spoken down to by the Dr when questioning new Dr's credentials.

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Emergency event on the unit

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Patient was not listening to What was going on.

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Not clearly communicated what drug to collect.

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supervising Dr had to leave due to afamily  crisis.

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No proper handover to on coming staff.

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Patient was delayed by an incident

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Patient having two procedures on same day.

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New Dr on team no orientation to unit.